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Individual

ANGIE GIBNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
901 7TH AVE S, ST PETERSBURG, FL 33705-1901
(727) 822-4789
(727) 896-4475
Mailing address
901 7TH AVE S, ST PETERSBURG, FL 33705-1901
(727) 822-4789
(727) 896-4475

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH12535
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
029961800
FL
Enumeration date
07/07/2015
Last updated
07/07/2015
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